Crossroads Discovery Academy Childcare Pre-Registration Form

Child's Name

Child's Age

Date of Birth

Parent/Guardian's Name

This address will receive a confirmation email

Phone

Address

How often will you need childcare?

Daily/Full time Part time It varies

What weekly schedule do you prefer for your child at Crossroads Discovery Academy?

Description

This form is required to reserve a childcare position for your child at Crossroads Discovery Academy. Please fill out the entire form and click submit. Please fill out a SEPARATE form for each child that you wish to reserve a position for at Crossroads Discovery Academy. Thank you for your interest in our childcare center.

Crossroads Discovery Academy Childcare Pre-Registration Form

Description

Please Fix the Following